ArticleHernia : the journal of hernias and abdominal wall surgery2025
Evaluating the impact of diastasis recti on ipom plus ventral hernia repair.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Effect of mesh plane on short-term surgical and functional outcomes in ventral hernia repair with associated rectus diastasis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
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6 authors.
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Abstract
introductionVentral hernia repair (VHR) via intraperitoneal onlay mesh with primary defect closure (IPOM+) is currently the most widely adopted technique. However, this procedure has not yet been evaluated in patients with diastasis recti (DR). We aimed to determine if the presence of DR affects long-term surgical outcomes of IPOM+.
methodsWe conducted a retrospective analysis of a consecutive series of patients who underwent IPOM + technique for VHR. Only patients with defects between 3 and 8 cm in width and with at least 1-year follow-up were included. The cohort was divided into two groups; IPOM+: patients with ventral hernia without DR, and IPOM + DR, patients with ventral hernia and DR. Preoperative, intraoperative and postoperative variables were compared between groups.
resultsA total of 106 patients undergoing VHR were included; 41 (39%) IPOM + and 65 (61%) IPOM + DR (the mean DR was: 4.5 ± 1.3 cm). Demographics and preoperative variables were similar between groups. Mean defect width was 5.3 ± 2 cm and: 4.7 ± 2 cm for IPOM + and IPOM + DR, respectively (p = 0.2). Mean follow-up was also similar between groups (IPOM+: 51.8 versus IPOM + DR: 46.3 months, p = 0.44). Recurrence rate was significantly higher in patients with IPOM + DR (21.5% versus 2.4%, p = 0.003). In addition, 5 (7.6%) patients in IPOM + DR group had DR-recurrence as clinical bulging, and all but one needed reoperation.
conclusionsAlthough IPOM + remains as an effective technique for the repair of midline ventral hernias, the presence of DR increases recurrence rates significantly. Further research is needed to determine the optimal surgical approach in patients with ventral hernias and DR.
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